Jessica Comstock

MD | Pediatrics | Female

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Complete Profile:

Jessica Comstock basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Jessica Comstock
Credential :	MD
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Jessica Comstock address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	100 N Mario Cappechi Dr, Primary Childrens Medical Center Dept Of Pathology Salt Lake City, UT, 84113 United States
Phone Number :	801-662-2164
Fax Number :	801-662-2165

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1164683959
NPI Entity Type :	Individual
First Enrolment Date :	24 Jun, 2008
Last Updated On :	03 Dec, 2021

Medicare Participation:

Jessica Comstock participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0143350561
Medicare Enrollment ID :	I20100611000154
Primary Specialty :	Pathology
Medical School :	University Of Iowa, Rj & L Carver College Of Medicine
Graduation Year :	2004
Accepts Medicare?	Yes. Jessica Comstock accepts medicare insurance.

Group Practice Association:

Jessica Comstock is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jessica Comstock is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Utah Adult Services	0941525273	1404	50 N Medical Dr Salt Lake City, UT - 841320100 Ph: 8015853229	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jessica Comstock are as mentioned. Primary taxonomy code for Jessica Comstock, MD is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
207ZP0213X	Pathology Pediatric Pathology	No	6025574-1205	UT
208000000X	Pediatrics	Yes	6025574-1205	UT
207ZP0102X	Pathology Anatomic Pathology & Clinical Pathology	No	60255741205	UT

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	127 S 500 E, 600 Salt Lake City, UT, 84102-1959 United States
Phone Number :	801-587-6336
Fax Number :	801-715-8228

Business Location:

Patients can refer following map for directions to Jessica Comstock practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.